Medical Treatment vs SDOH - Washington

Medical Treatment vs

SDOH

A False Dichotomy?

Lawrence Lyon, MD WA DOH MQAC Conference 10/4/2019

Let's Examine

? What is Medical Treatment? ? What are the Social Determinants of Health? ? Do they impact each other? How? ? Should we do anything about it? When and Why? ? Downsides/Upsides ? Think globally, act locally

Lawrence Lyon, MD WA DOH MQAC Conference 10/4/2019

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Medical Treatment vs

SDOH

? Are they related? ? SDOH always present ? Medical Treatment and SDOH reflect practice and patient

population variability. ? SDOH concerns may only arise when lacking

Lawrence Lyon, MD WA DOH MQAC Conference 10/4/2019

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One Way To Think of Medical Treatment & SDOH

? Medical Treatment Plan as blueprint & directions ? Social Determinants of Health as toolbox ? We send the patient out to do a job ? The patient needs both directions and tools

Lawrence Lyon, MD WA DOH MQAC Conference 10/4/2019

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Medical Treatment: It's What We Do

? We evaluate patients ? We make a diagnostic and/or treatment plan ? It's the blueprint and directions of our recommendations ? It's up to patients to follow our recommendations and

referrals

Lawrence Lyon, MD WA DOH MQAC Conference 10/4/2019

SDOH: The Other Stuff Impacting Care

? Factors which affect one's health

"conditions in the places where people live, learn, work, and play; affect a wide range of health risks and outcomes. These conditions are known as social determinants of health (SDOH)."

? ? CDC website on SDOH

Lawrence Lyon, MD WA DOH MQAC Conference 10/4/2019

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SDOH Drill Down

? Individual behavior ? Social environment ? Physical environment ? Health services access

--CDC website on SDOH

Lawrence Lyon, MD WA DOH MQAC Conference 10/4/2019

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SDOH Specific Examples

Lawrence Lyon, MD WA DOH MQAC Conference 10/4/2019

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